MDT discussion of a case of solid pseudopapillary tumor of pancreas_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

YANG Fan ^1,2 , MA Rong ¹ ,  GONG Jianping ¹

1. Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, P. R. China;
2. Department of Hepatobiliary Surgery, Chishui People’s Hospital, Chishui, Guizhou 564700, P. R. China;

Corresponding?author：

GONG Jianping, Email: gongjianping11@126.com

Keywords：

solid pseudopapillary tumor of pancreas; diagnosis; multiple disciplinary team

DOI：

10.7507/1007-9424.201904037

Video：

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Objective To improve recognization and effect of surgical treatment for solid pseudopapillary tumor of pancreas (SPTP) through multidisciplinary team (MDT) discussion.Methods The clinical data of 1 case of SPTP treated in The Second Affiliated Hospital of Chongqing Medical University were discussed by the MDT. The best operation scheme was selected and the patient was followed-up.Results The preoperative CT scan showed that the occupation on the body and tail of pancreas and suggested it was the tumorous lesions. After the MDT discussion, the preoperative diagnosis was still not completely clear. However, the decision was made to resect occupation. After the operation, the pathological examination showed it was the SPTP. There was no recurrence or metastasis with the follow-up of 6 months.Conclusions Preoperative diagnosis of SPTP is difficult, especially for atypical SPTP. Through MDT discussion, it can help to reduce misdiagnosis rate and formulate optimal surgical treatment strategy.

Citation： YANG Fan, MA Rong, GONG Jianping. MDT discussion of a case of solid pseudopapillary tumor of pancreas. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2019, 26(9): 1106-1109. doi: 10.7507/1007-9424.201904037 Copy

1.	Carlotto JR, Torrez FR, Gonzalez AM, et al. Solid pseudopapillary neoplasm of the pancreas. Arq Bras Cir Dig, 2016, 29(2): 93-96.
2.	Lanke G, Ali FS, Lee JH. Clinical update on the management of pseudopapillary tumor of pancreas. World J Gastrointest Endosc, 2018, 10(9): 145-155.
3.	Naar L, Spanomichou DA, Mastoraki A, et al. Solid pseu-dopapillary neoplasms of the pancreas: A surgical and genetic Enigma. World J Surg, 2017, 41(7): 1871-1881.
4.	Rishi A, Goggins M, Wood LD, et al. Pathological and molecular evaluation of pancreatic neoplasms. Semin Oncol, 2015, 42(1): 28-39.
5.	Marchegiani G, Andrianello S, Massignani M, et al. Solid pseudopapillary tumors of the pancreas: Specific pathological features predict the likelihood of postoperative recurrence. J Surg Oncol, 2016, 114(5): 597-601.
6.	Schlarb HC, Schlarb AC, Ubert HA, et al. Solid pseudopapillary tumor of the pancreas. W V Med J, 2015, 111(2): 22-24.
7.	Ganeshan DM, Paulson E, Tamm EP, et al. Solid pseudo-papillary tumors of the pancreas: current update. Abdom Imaging, 2013, 38(6): 1373-1382.
8.	Dinarvand P, Lai J. Solid pseudopapillary neoplasm of the pancreas: a rare entity with unique features. Arch Pathol Lab Med, 2017, 141(7): 990-995.
9.	Lima CA, Silva A, Alves C, et al. Solid pseudopapillary tumor of the pancreas: Clinical features, diagnosis and treatment. Rev Assoc Med Bras (1992), 2017, 63(3): 219-223.
10.	楊含, 李寧, 鄧文英, 等. 胰腺實性假乳頭狀腫瘤的臨床特征手術策略及預后. 中華腫瘤雜志, 2017, 39(3): 211-215.
11.	Terris B, Cavard C. Diagnosis and molecular aspects of solid-pseudopapillary neoplasms of the pancreas. Semin Diagn Pathol, 2014, 31(6): 484-490.
12.	Singh A, Agarwal AA, Sonkar AA, et al. Solid pseudopapillary tumour of pancreas. BMJ Case Rep, 2014, 2014. pii: bcr2013200747.
13.	Choi JY, Kim MJ, Kim JH, et al. Solid pseudopapillary tumor of the pancreas: typical and atypical manifestations. AJR Am J Roentgenol, 2006, 187(2): W178-W186.
14.	Li DL, Li HS, Xu YK, et al. Solid pseudopapillary tumor of the pancreas: clinical features and imaging findings. Clin Imaging, 2018, 48: 113-121.
15.	Guerrache Y, Soyer P, Dohan A, et al. Solid-pseudopapillary tumor of the pancreas: MR imaging findings in 21 patients. Clin Imaging, 2014, 38(4): 475-482.
16.	Kersting S, Janot MS, Munding J, et al. Rare solid tumors of the pancreas as differential diagnosis of pancreatic adenocarcinoma. JOP, 2012, 13(3): 268-277.
17.	Wang P, Wei J, Wu J, et al. Diagnosis and treatment of solid-pseudopapillary tumors of the pancreas: A single institution experience with 97 cases. Pancreatology, 2018, 18(4): 415-419.
18.	湯小龍, 張建偉, 陳應泰, 等. 胰腺實性假乳頭狀癌 11 例臨床診治分析. 中華醫學雜志, 2014, 94(2): 96-99.
19.	álvarez-Cuenllas B, Vaquero LM, Pisabarros C, et al. Frantz’s tumor or solid-pseudopapillary tumor of the pancreas. Gastroenterol Hepatol, 2015, 38(7): 468-470.
20.	朱時雨, 許新才, 程坤, 等. 胰腺實性假乳頭狀瘤的特點及診療分析. 中國普外基礎與臨床雜志, 2018, 25(7): 825-831.
21.	王建華, 王中秋. 胰腺實性-假乳頭狀瘤臨床研究新進展. 中國臨床研究, 2018, 31(11): 1592-1594, 1597.

1. Carlotto JR, Torrez FR, Gonzalez AM, et al. Solid pseudopapillary neoplasm of the pancreas. Arq Bras Cir Dig, 2016, 29(2): 93-96.
2. Lanke G, Ali FS, Lee JH. Clinical update on the management of pseudopapillary tumor of pancreas. World J Gastrointest Endosc, 2018, 10(9): 145-155.
3. Naar L, Spanomichou DA, Mastoraki A, et al. Solid pseu-dopapillary neoplasms of the pancreas: A surgical and genetic Enigma. World J Surg, 2017, 41(7): 1871-1881.
4. Rishi A, Goggins M, Wood LD, et al. Pathological and molecular evaluation of pancreatic neoplasms. Semin Oncol, 2015, 42(1): 28-39.
5. Marchegiani G, Andrianello S, Massignani M, et al. Solid pseudopapillary tumors of the pancreas: Specific pathological features predict the likelihood of postoperative recurrence. J Surg Oncol, 2016, 114(5): 597-601.
6. Schlarb HC, Schlarb AC, Ubert HA, et al. Solid pseudopapillary tumor of the pancreas. W V Med J, 2015, 111(2): 22-24.
7. Ganeshan DM, Paulson E, Tamm EP, et al. Solid pseudo-papillary tumors of the pancreas: current update. Abdom Imaging, 2013, 38(6): 1373-1382.
8. Dinarvand P, Lai J. Solid pseudopapillary neoplasm of the pancreas: a rare entity with unique features. Arch Pathol Lab Med, 2017, 141(7): 990-995.
9. Lima CA, Silva A, Alves C, et al. Solid pseudopapillary tumor of the pancreas: Clinical features, diagnosis and treatment. Rev Assoc Med Bras (1992), 2017, 63(3): 219-223.
10. 楊含, 李寧, 鄧文英, 等. 胰腺實性假乳頭狀腫瘤的臨床特征手術策略及預后. 中華腫瘤雜志, 2017, 39(3): 211-215.
11. Terris B, Cavard C. Diagnosis and molecular aspects of solid-pseudopapillary neoplasms of the pancreas. Semin Diagn Pathol, 2014, 31(6): 484-490.
12. Singh A, Agarwal AA, Sonkar AA, et al. Solid pseudopapillary tumour of pancreas. BMJ Case Rep, 2014, 2014. pii: bcr2013200747.
13. Choi JY, Kim MJ, Kim JH, et al. Solid pseudopapillary tumor of the pancreas: typical and atypical manifestations. AJR Am J Roentgenol, 2006, 187(2): W178-W186.
14. Li DL, Li HS, Xu YK, et al. Solid pseudopapillary tumor of the pancreas: clinical features and imaging findings. Clin Imaging, 2018, 48: 113-121.
15. Guerrache Y, Soyer P, Dohan A, et al. Solid-pseudopapillary tumor of the pancreas: MR imaging findings in 21 patients. Clin Imaging, 2014, 38(4): 475-482.
16. Kersting S, Janot MS, Munding J, et al. Rare solid tumors of the pancreas as differential diagnosis of pancreatic adenocarcinoma. JOP, 2012, 13(3): 268-277.
17. Wang P, Wei J, Wu J, et al. Diagnosis and treatment of solid-pseudopapillary tumors of the pancreas: A single institution experience with 97 cases. Pancreatology, 2018, 18(4): 415-419.
18. 湯小龍, 張建偉, 陳應泰, 等. 胰腺實性假乳頭狀癌 11 例臨床診治分析. 中華醫學雜志, 2014, 94(2): 96-99.
19. álvarez-Cuenllas B, Vaquero LM, Pisabarros C, et al. Frantz’s tumor or solid-pseudopapillary tumor of the pancreas. Gastroenterol Hepatol, 2015, 38(7): 468-470.
20. 朱時雨, 許新才, 程坤, 等. 胰腺實性假乳頭狀瘤的特點及診療分析. 中國普外基礎與臨床雜志, 2018, 25(7): 825-831.
21. 王建華, 王中秋. 胰腺實性-假乳頭狀瘤臨床研究新進展. 中國臨床研究, 2018, 31(11): 1592-1594, 1597.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

MDT discussion of a case of solid pseudopapillary tumor of pancreas

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